Provider Demographics
NPI:1811999022
Name:WALSH-FARRELL, SHARON ELIZABETH (PT)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ELIZABETH
Last Name:WALSH-FARRELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:ELIZABETH
Other - Last Name:WALSH-FARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2850 N COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1910
Mailing Address - Country:US
Mailing Address - Phone:520-322-6274
Mailing Address - Fax:520-884-0199
Practice Address - Street 1:6264 E GRANT ROAD
Practice Address - Street 2:BORDEN PHYSICAL THERAPY, LLC
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-5882
Practice Address - Country:US
Practice Address - Phone:520-884-0001
Practice Address - Fax:520-884-0199
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16022251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5688OtherHEALTH NET
AZ1899071OtherFIRST HEALTH
AZ86-0757479OtherCHAMPUS
AZ0461270OtherBLUE CROSS BLUE SHIELD
AZS84846Medicare UPIN
650019868Medicare PIN
AZ0461270OtherBLUE CROSS BLUE SHIELD